中国一家烧伤科收治的5321例烧伤患者的死亡率：1980 - 1998年

Mortality rates among 5321 patients with burns admitted to a burn unit in China: 1980-1998.

作者信息

Jie Xiao, Baoren Cai

机构信息

Burns and Plastic Department, 205 Hospital, No. 9, Section 2, Chongqing Road, Guta Area, Jinzhou, 121001 Liaoning, China.

出版信息

Burns. 2003 May;29(3):239-45. doi: 10.1016/s0305-4179(02)00303-0.

DOI:10.1016/s0305-4179(02)00303-0

PMID:12706617

Abstract

A retrospective study was conducted on 5321 burn patients hospitalized in a burn center in Jinzhou, China during the period 1980-1998. Of the 5321 patients, 57.8% were between 15 and 44 years old and 3.4% were > or =60 years old. Ninety-six percent had burns covering less than half of body surface area and 31.7% had only full thickness skin burn. The number of patients in the 1990s was three times that of the 1980s. Overall mortality rate was 0.86%. LA(50) for total body burn area (TBSA) and only full thickness skin burn (FTSB) was 94 and 87%, respectively. The high survival rate, may relate primarily to the low percentages of older patients and of patients with severe burns. Inhalation injuries, infection and MOD are the main causes of deaths in our patients and would be key targets to improve clinical care and in future study.

摘要

对1980 - 1998年期间在中国锦州一家烧伤中心住院的5321例烧伤患者进行了一项回顾性研究。在这5321例患者中，57.8%的患者年龄在15至44岁之间，3.4%的患者年龄≥60岁。96%的患者烧伤面积小于体表面积的一半，31.7%的患者仅为全层皮肤烧伤。20世纪90年代的患者数量是80年代的三倍。总体死亡率为0.86%。全身烧伤面积（TBSA）和仅全层皮肤烧伤（FTSB）的半数致死量（LA(50)）分别为94%和87%。高生存率可能主要与老年患者和重度烧伤患者的低比例有关。吸入性损伤、感染和多器官功能障碍是我们患者死亡的主要原因，将是改善临床护理和未来研究的关键目标。